Celebrating 20 Years of Collaborating to Conquer Cancer Angie Ryan Health Communication Specialist/Program Consultant Comprehensive Cancer Control Branch, DCPC VTAAC Annual Meeting Montpelier, Vermont September 21, 2018

The Ultimate Goal

Collaborating to Conquer Cancer: 20 Years of the NCCCP

All People Free of Cancer Scale our best practices to increase impact of screening continuum Improve health outcomes for cancer survivors Elimination of preventable cancers All people get the right care at the right time for the best outcome Cancer survivors live longer, healthier lives Aspirations Translation & Evaluation Partnership Our Key Strengths Data All People Free of Cancer Reduce the incidence of preventable cancers by reducing modifiable risk factors and promoting healthy behaviors … by educating people on obesity-related cancers Our Guiding Principles Address Health Disparities Define Expected Outcomes Upfront Collaborate Communicate: Tailor to a Specific Audience Strategic Priorities Goal and Aspirations Our longer term strategic framework. Strategic Priorities Objectives are identified based on need and our potential to impact that change over time as desired outcomes are achieved. Evolving as we complete work and new opportunities become available. Key Strengths We demonstrate our key strengths by combining flawless execution of the familiar and a constant focus on innovation.

Division of Cancer Control and Prevention Foundational Programs National Comprehensive Cancer Control Program National Breast and Cervical Early Detection Program Colorectal Cancer Control Program National Program of Cancer Registries 1701 has three foundational programs: For more than 25 years, National Breast and Cervical Cancer Early Detection Program (NBCCEDP) has provided low-income, uninsured, and underserved women access to timely breast and cervical cancer screening and diagnostic services. In 1998, CDC established the National Comprehensive Cancer Control Program (NCCCP) to support comprehensive cancer control in U.S. states, Pacific Island Jurisdictions, territories, and tribes and tribal organizations. NCCCP provides funding and technical advice to create, carry out, and evaluate comprehensive cancer control plans, which focus on issues like prevention, detection, treatment, survivorship, and health disparities. Established 25 years ago, the National Program of Cancer Registries (NPCR) collects data for 96% of the U.S. population on the number of cancer cases, as well as information on the type, extent, and location of cancers; stage at diagnosis; and the type of initial treatment. Together, CDC’s NPCR and the National Cancer Institute’s (NCI’s) Surveillance, Epidemiology, and End Results (SEER) Program collect data for the entire U.S. population. DCPC also has other funding streams that help us achieve our goal to reduce cancer burden. For example, the Colorectal Cancer Control Program (CRCCP) funded in 2008 has helped states and tribes across the United States increase colorectal (colon) cancer screening rates among men and women aged 50 years and older. Other examples include CCC’s National Partner’s FOA, which helps to provide TA to grantees, and NPCRS’s …..

National Comprehensive Cancer Control Program CDC’s Vision: Collaborating to Conquer Cancer Supports robust state, tribal, territory-wide coalitions Addresses public health needs of cancer survivors Plans and implements policy, systems, and environmental changes emphasizing primary prevention of cancer and supports early detection and treatment activities Promotes health equity The National Comprehensive Cancer Control Program began in 1998 CDC currently supports coalitions in all 50 states, the District of Columbia, 6 U.S. Associated Pacific Islands and Puerto Rico, and 8 tribes or tribal groups, to assess the burden of cancer in jurisdictions, create cancer control plans to prioritize cancer prevention and control strategies, and leverage resources to implement cancer control interventions at the state and local levels.

NCCCP Funds programs in all 50 states, the District of Columbia, 8 tribes or tribal organizations, and 7 U. S. Territories Coalition Demographics: 100% include public health program representatives 95% include members from colleges and hospitals 95% include representatives from community groups like faith-based organizations 94% include members of professional associations for nurses, oncologists, primary care doctors, etc. 85% include people from local businesses 76% include people who make laws or local policies 72% include partners in local, state, or national government Does this resemble the demographics of the VITAAC membership?

NCCCP Coalition Expectations Each coalition creates and implements a CCC plan. This plan: Identifies how the coalition addresses the burden of cancer in its geographic area Is based on registry and/or cancer mortality data Is created by the coalition as a blueprint for action and implementation Is compatible with the goals of Vermont comprehensive cancer control plan Is typically renewed every five years, following review and evaluation

External Partnerships - Why are They Important? Support CCC coalition to ensure implementation of cancer plan Leverage resources to implement strategies that address the NCCCP priorities Formalize key collaborations Collaborate with specific local stakeholders; includes local implementation grants Help address future CCC coalition sustainability

National Comprehensive Cancer Control Program Priorities My First Template National Comprehensive Cancer Control Program Priorities 01 Emphasize Primary Prevention of Cancer Implement PSE Changes to Guide Sustainable Cancer Control . 04 02 Support Early Detection and Treatment Activities Promote Health Equity as it relates to Cancer Control 05 03 Demonstrate outcomes through evaluation 06 Address the Public Health Needs of Cancer Survivors

Overview of NCCCP Activities: 94% of programs are adopting strategies to help make life better for cancer survivors after treatment 84% of programs are implementing activities to lower cancer risks by eliminating tobacco use, encouraging people to be physically active and eat healthy, and protecting people from skin-damaging ultraviolet light from the sun or indoor tanning 80% of programs are working to increase colorectal (colon) cancer screening 62% work with partners to decrease HPV infection rates by increasing HPV vaccination coverage.

Comprehensive Cancer Control National Partnership The Comprehensive Cancer Control National Partnership (CCCNP) is a group of national organizations including CDC whose purpose is to support comprehensive cancer control (CCC) coalitions in the states, tribes, territories, and U.S. Pacific Island Jurisdictions. These 16 organizations meet two times per year and support our national priorities for cancer control and provide technical assistance to our NCCCP programs. *Note: The National Partners are NOT funded as a group, however, CDC does contribute funding and other resources to many of their initiatives and activities. The first national partner meeting was in 1999 – ICC, ASTHO, C-Change (then National Dialogue on Cancer), NACDD joined the discussion at that time. Then LIVESTRONG, NACCHO, HRSA joined. Most recent partners to join were ACS CAN, LLS, Komen, Legacy (in that order). So for quite some time the core partners were CDC, NCI, ACS, ACOS C0C, NAACCR, ASTHO, C-Change, NACDD, LIVESTRONG, NACCHO, HRSA.

Celebrating 20 Years of NCCCP For more information contact: Angie Ryan Aryan@cdc.gov Go to the official federal source of cancer prevention information: www.cdc.gov/cancer